<form id="add-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Connection_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-connection_id" data-rule="required" data-source="connection/index" class="form-control selectpage" name="row[connection_id]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Connection_name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-connection_name" class="form-control" name="row[connection_name]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Connection_mobile')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-connection_mobile" class="form-control" name="row[connection_mobile]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Staff_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-staff_id" data-rule="required" data-source="staff/index" class="form-control selectpage" name="row[staff_id]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Staff_name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-staff_name" class="form-control" name="row[staff_name]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Staff_mobile')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-staff_mobile" class="form-control" name="row[staff_mobile]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Canal_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-canal_id" data-rule="required" data-source="canal/index" class="form-control selectpage" name="row[canal_id]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Canal_name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-canal_name" class="form-control" name="row[canal_name]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Canal_mobile')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-canal_mobile" class="form-control" name="row[canal_mobile]" type="text">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-primary btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
